目的 :探讨食管支架成形术结合动脉灌注化疗、放疗治疗晚期食管癌的疗效。方法 :4 6例晚期食管癌患者 ,于X线监视下 ,经口腔置入食道支架。支架置入术后 18例患者单纯行动脉灌注化疗 ;15例患者单纯放疗 ;13例患者动脉灌注化疗术后结合放疗。结果 :所有患者支架置入均获成功 ,支架置入后吞咽困难症状得到不同程度缓解。在晚期食管癌的治疗中 ,支架置入术后同时结合动脉灌注化疗、放疗效果优于支架置入后单纯动脉灌注化疗或单纯放疗。结论 :支架置入术治疗晚期食管癌简单有效 ,支架置入术后结合动脉灌注化疗 /放疗可以延长患者的生存时间 Objective: To investigate the efficacy of esophageal stent-graft combined with arterial infusion chemotherapy and radiotherapy in the treatment of advanced esophageal cancer. Methods: Forty-six patients with advanced esophageal cancer underwent esophageal stent placement under the supervision of X-ray. Eighteen patients undergoing stent implantation were treated with arterial infusion chemotherapy alone, 15 patients received radiotherapy alone, and 13 patients received radiotherapy after arterial infusion chemotherapy. Results: All the patients were successfully treated with stent implantation, and the symptoms of dysphagia after stent implantation were relieved to varying degrees. In the treatment of advanced esophageal cancer, stent implantation combined with intra-arterial infusion chemotherapy, radiotherapy is superior to the stent after arterial infusion chemotherapy or radiotherapy alone. Conclusion: Stent implantation is a simple and effective method for the treatment of advanced esophageal cancer. Combined with intra-arterial infusion of chemotherapy and radiotherapy after stent implantation can prolong the survival time of patients